Building Resilience and Decreasing

Substance Abuse Among Families in

Provo

December 2018

Nancy Aleccia, Katie Angerhofer, Lydia Rule, and Andy

Wirkus

1
Table of Contents

Community Assessment……………………………….pg. 3

Intervention Plan………………………………………pg. 20

Implementation and Evaluation Guide………………..pg. 24

2
Community
Assessment

3
Foothills, Oakhills, Pleasant View, Provost, Provost South, & Wasatch Neighborhoods

Building
Resilience and
Decreasing
Substance
Abuse Among
Families in
Provo
Nancy Aleccia, Katie Angerhofer, Lydia Rule, & Andrew Wirkus 4
Community Snapshot
● Population: 18,354

● Poverty: 27.2%

● 76% White

5
Socioeconomic
Information

6
Needs and Capacity Assessment
Primary Data Collection Methods

Goal: obtain data regarding neighborhoods, resilience, and attitudes related

to homelessness and addiction

● Members of the group were supplied with a pre-made qualtrics survey

○ Multiple choice questions
○ Likert scales
○ Fill in the blank
● Individuals in the group reached out to church members/leaders, public
school administrators, and community organizations in the assigned
areas
○ Facebook Groups
○ Email
7
○ In person
Primary Data Collection
Members of the group were given a
pre-made qualtrics survey
● Questions:
○ Demographics
○ Community beliefs
● Format:
○ Multiple choice questions
○ Likert scales
○ Fill in the blank
Goal: obtain data regarding
neighborhoods, resilience, and
attitudes related to homelessness
and addiction
● Survey Methods
○ Facebook Groups
○ Email
○ In person
● Populations surveyed
○ Church members/leaders
○ Public school administrators
○ Community organizations
8
Data Analysis
Sample size: 49

● Surveys checked for outlying variables

○ neighborhoods outside specified area
● Data compiled
○ broken down per question
○ graphs created per question
● Needs analyzed
○ what are the primary issues in these neighborhoods?
○ how do individuals view their neighborhoods?

9
Results
Questions evaluating mental
health, substance abuse, and
homelessness

10
 Resilience

Community
Resilience 4.41

Family and
Friends
4.49
Resilience
Resilience

Personal
Resilience 4.27

Participants were asked to

● Individual resilience ranked lowest
● Community resilience ranked second
rate their resilience on a scale
from 1-5, 5 being the best. The
scores are averaged results
for all survey participants.
11
Neighborhood Analysis

● Substance abuse and mental illness considered most prevalent

problems in the communities surveyed
● In-person interviews expounded on this data
12
 Personal Interviews
Individuals Interviewed: Interviewees agreed
that substance
○ 2 Community Members
○ A community church leader
abuse was a
○ The assistant superintendent of Povo School Districts problem in their
communities,
Common Themes:
however, they were
○ Religious groups are very strong in the area not aware of
○ Individuals have connections to neighbors through their specific individuals
church organizations
○ Homelessness has little effect on the community
who had substance
○ Substance abuse and addiction are big problems in Utah abuse problems.
Valley, and most likely within the communities
13
 Root Cause Analysis: 2. Use interviews to determine

Process anecdotal evidence

3. Compare those primary sources

1. Look at survey responses of our
of data to the secondary data we
target community and validate
collected, and decide which areas
the information provided in the
to target
interviews we conducted
14
15
Priority Setting
● We sat down as a group and discussed what we thought would be the
most important things that would need to change in our community
based on the feedback from individual interviews and surveys.

● Our criteria focused on amount of people affected, how severe

consequences of implementing change (or not) would be, and the burden
that it would pose economically on our communities.

16
 Criteria Considered
Importance Changeability
a. Size of population it affects a. Cost to affect the change
(score 0-6) (score 0-6)
b. Severity of consequences b. Community Support (score
(score 0-6) 0-6)
c. Economic burden (score 0-6)
d. Rates are higher (or lower)
than Utah State rates (score 0-6)

17
Prioritization Matrix

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Priority Root Cause List
I. Community lacking knowledge of substance abuse problems
II. Absence of open discussion on substance abuse in community
III. Mental health disorders stemming from isolation, depression, pressure for
perfection
IV. Religious pressures
V. Social pressures/stigmas keep them in the dark

19
Intervention Plan

20
 Building Resilience and
Decreasing Substance
Abuse Among
Families in Provo
In partnership with United Way

"3 to 5" Program and Mommy Blogger Initiative

Our goal is to reduce drug misuse and abuse while increasing resilience
among our communities, families, and individuals in the Pleasant View, Oak
Hills, Wasatch, Foothills, Provost, Provost South neighborhoods.

Risks and Causal Factors With a Solution

MENTAL HEALTH
Mental health issues such as depression and Community members will join
anxiety often spring out of social exclusion and with us to form a coalition to
cultural pressures to be perfect. raise awareness and offer
resources for mental health
issues.

LACK OF KNOWLEDGE
Overprescription and misunderstanding of
danEers _and how to dispose of unused
medicat10ns.
Coalition will spread information
about opioids and the
importance of child supervision
between the hours of 3 to 5 p.m.
LACK OF OPEN COMMUNICATION
Because of a stigma surrounding drug use
many people do not talk openly about opioids .

After school activities for

children and youth will be
RELIGIOUS PRESSURE offered through our program.
In the predominant religious culture having a
drug problem is frowned on. Additionally,
there is pressure to be perfect and opioids can
be used as an escape.

Our vision is to involve everyone

SOCIAL PRESSURE in our community and reduce
Often drug use is seen as a male religious and social pressures
issue, however, with opioids it is often not the by building resilience.
case. Many women struggle with opioids.

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22
23
Implementation and
Evaluation Guide

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 3 to 5 Program/Mommy Bloggers
Inputs Intervention Strategies and
Activities
United Way Resources Health Communication
Mommy bloggers post material for
Materials for talking about opioids with children
participants: on blogs
- Information about ”3
to 5” through social Mommy bloggers post survey
about “3 to 5” and drug
media posts
awareness on blogs
- List of activities to do
with children during 3-5 Mommy bloggers post about
pm alternative pain treatments on
- Social media post for blogs
mommy bloggers
Community Mobilization
Funding
Survey parents in community
about “3 to 5” program awareness
Mommy Bloggers
Hold biannual events for “3 to 5”
School partnerships
coalition
PTA coalition
Develop and implement with
schools afterschool activities
Staff at United Way
Create and hold red ribbon week
Community participants
activities related to ”3 to 5” for
schools
Outputs Short-term and Long-term Outcomes
Intermediate Outcomes
10 mommy blogger 25% of mothers in the who
posts about opioids read the blog in the
community self report
Receive at least 200 having conversations
responses to surveys about opioid use with their
sent by mommy children
bloggers Decrease the growth rate of new
substance misusers among mothers
50% of mothers in the and youth by 15% from the baseline we
10 mommy blogger community can identify at
will measure
posts about pain tx least 2 common drugs
alternatives youth use
Decrease percent of youth (12-18 yrs.
At least 200 parents old) that begin misusing substance in
25% of respondents to our the community due to the efforts of the
respond to survey about
survey have a better “3 to 5” program by 10%
“3 to 5” program
understanding and
willingness to use
Have 2 annual “3 to 5” alternative treatments
events run by the
coalition
3-5 program awareness
100% of schools provide
increases by 30% from
after school activities 2- Intervention Strategy Key:
baseline pretest
3 times a week with
reporting to parents
Have 40% increase in Mommy blogger
parents who are aware of
20 schools hold a “3 to
what kids are doing “3 to 5” Program
5” activity during red
between 3-5PM
ribbon week
Materials &
Increase quality/quantity of participants
structured school activities
involved with “3 to 5”
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 Timeline
Mommy
"3 to 5" Both
Key Blogger
Program Programs
Program
Months
Tasks 1 2 3 4 5 6 7 8 9 10 11 12 18 months 24 months
Purchase supplies:
printer, computers, paper,
etc.
Recruit interns for
mommy blogger and "3 to
5" programs
Collect data on
importance of 3 to 5 pm
for child
supervision/activity
Create mommy blog
survey (include topics
such as prefered Mommy
blogger and opioid
knowledge)
Create 3 parental
awareness of child's
activities between times
of 3 and 5 pm
Send out survey to
mothers in community
(about Mommy bloggers
and opioid knowledge)
Send out "3 to 5" survey
to parents
Create and develop "3 to
5" website (including the
programing side, and the
resources to be used on
the site)
Contact top 20 Mommy
bloggers reported in our
survey, partner with them
to share our resources
Create opioid related
posts for mommy
bloggers (social media
posts, blog posts,
infographics etc)

26
Set up meetings and
meet with PTA presidents
from schools in
communities to invite
them to join "3 to 5"
programs
Set up meetings and
meet with school
administration to create
"3 to 5" coalition
Meet with schools about
providing after school
activities 2-3 times a
week
Meet with school about
providing Red Ribbon
week activities
Create "3 to 5" program
related posts for mommy
bloggers (social media
posts, blog posts,
infographics, etc)
Share opioid posts with
mommy bloggers
Continue to create opioid
and "3 to 5" related social
media posts for the
mommy bloggers to
periodically post
Create parent-child
communication survey
Share "3 to 5" posts with
mommy bloggers
Reach out to community
members and
organizations to form "3
to 5" coalition
Partner with
organizations to sponsor
annual gatherings for
coalition
Distribute parent-child
communication survey

27
Create follow-up survey
for alternative pain
management, blog
reading, and opioid
conversations
Create follow-up survey
about popular drugs
among youth, and "3 to
5" program awareness
Create substance misuse
survey for mothers and
youth
Distribute survey for
alternative pain
management, blog
reading, and opioid
conversations
Distribute survey about
about popular drugs
among youth, and "3 to
5" program awareness
Distribute substance
misuse survey
Conduct post evaluation

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Budget Summary

Amount

Personnel

Project Manager $56,500

Consultant $1,500

Benefits

Intern Stipend (x4) $6,000

Travel

Mileage Reimbursement $85

($0.56 per mile x 150)

Equipment

Computer (x5) $2,500

Supplies

Ream of Paper (x4) $15

Printer $2,000

Sponsorships $6,000
($50 per post each month x 10 bloggers)

Misc. $400

Total $75,000

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Evaluation Plan Table

Objective Indicator/Statistic Data Collection Data Collection Plan

(What is to be (Specifically, what Source(s) and (Who will collect data? By
achieved?) will be measured?) Method(s) when and how?)
(What technique
will be used to get
data?)

Process Evaluation

1a) Survey 200 (or # of women Knowledge of Project interns. Surveys

until we reach surveyed opioids and will be administered to
saturation) women blogger mothers in community
about which mommy preference survey electronically, reaching
bloggers, if any, they (Qs 8-10) them through social
follow by February, media and community
2019. Included in this This is where we contacts (community
survey are questions will establish the social media groups etc)
to form our baseline baseline for our Surveys to be collected
for basic information intervention. in February 2019.
this population has on
opioid use.

1b) Develop social Completion Project manager Project manager.

media posts, a blog of media post, blog report Materials to share will be
post, and infographics post, and created and completed
to present to bloggers infographic by April 2019.
related to opioid use creation.
including the opioid
epidemic,
connections to mental
health, and other
suggested topics of
discussion by April,
2019

1c) At least 10 of the # of mommy Monthly social Interns. Closely monitor

mommy bloggers bloggers sharing “3 media posts mommy bloggers(that
contacted shared “3 to 5” resources on report were contacted)
to 5” resources to blogs accounts and submit
educate other moms report by June 2019.
by June, 2019.

30
1f) At least 200 # of completed Alternative pain Peer leaders/interns.
survey responses to mommy blog management Surveys will be
posts from Mommy surveys regarding survey (Qs 15) distributed throughout
bloggers gathering the year to followers of
information on This will happen mommy bloggers,
attitudes towards after the mommy surveys will be posted
different pain bloggers have on blog and sent directly
management already posted to account followers.
alternatives by about the subject. Surveys will be collected
January 2020. in January 2020.

2.1a) Partner with # of schools Membership Project manager.

each school district in partnered with “3 records (specific Membership will be
Utah County to to 5” look at schools) reviewed each week to
promote 3 to 5pm get accurate counting of
supervision by April school membership.
2019. Report to be submitted
by April 2019.

2.1b) Survey families Community “3 to 5” awareness Peer leaders/interns.

in area to collect awareness of “3 to survey (Qs 15) Surveys will be
awareness of the “3 to 5” administered
5” program by electronically, reaching
December 2020. them through social
media and community
contacts (community
social media groups etc)
Survey submitted by
December 2020.

2.2a) Form a “3 to 5” # of community Attendance logs Project manager.

coalition of at least 5 members involved and membership Membership will be
community leaders, in coalition report reviewed each week to
including school get accurate counting of
leaders and PTA community member
presidents in involvement (school
community, by July, administration, PTA
2019. presidents) in coalition.
Report to be submitted
by July 2019.

2.2b) Partner with # of annual Attendance logs Project Manager.

other organizations in gatherings and project Attendance to be taken
the area and sponsor organized manager report at each gathering. Report
2 annual gatherings to be submitted by
run by the 3 to 5 December 2019.

31
coalition (to increase
awareness and
popularity in the
community) by
December 2019.

2.3a) Contact PTA # of PTA presidents Attendance logs Project manager.

presidents of the 23 participants in “3 to and membership Membership will be
public schools in 5” coalition that report reviewed each week to
Provo School District encourage parental get accurate counting
to form a 3 to 5 supervision of PTA presidents in
coalition encouraging coalition. Report to be
parental supervision submitted by April 2019.
during 3-5 pm hours
by April, 2019.

2.3b) Have 100% of % of schools the School activity Interns. Interns will
schools provide after provide programs report and intern work with schools to
school activities 2-3 at least 2-3 times a activity report create at least 2-3 after
times a week from 3 week during 3-5 school activities for
to 5 pm by August, pm students. Report to be
2019 in order to give submitted by August
families more options 2019.
of structured
activities for their
children.

2.3c) 20 schools hold # of schools Red ribbon week Interns. Interns will
a “3-5” activity during holding a “3 to 5” activity log for work with school in
Red Ribbon week activity during Red each school and planning red ribbon
(starting 2020) to Ribbon week attendance log. week activity and log
promote wholesome will be kept of events
activities and carried out and
discourage drug use attendance at events.
by Oct 2020. Report submitted by
October 2020.

2.4a) Survey 200 # of parents Parental Peer leaders/interns.

parents in our surveyed about awareness survey Surveys will be
population about knowledge of (Qs 20) administered to parents
their knowledge of children's activities in community for pre-
activities their between 3 to 5 pm test baseline. Surveys
children are involved will be collected in
in from the hours of 3 February 2019.
and 5pm by Feb 2019.
Include at the end of

32
this survey ideas that
their children could
be do during those
hours.

Summative Evaluation: Impact/Short and Intermediate Objectives

1.1) 50% of mothers % of community Knowledge of Peer leaders/interns.

in the community can mothers that can opioids survey(Qs Surveys will be
identify at least 2 identify at least 2 8-10) administered via email
common drugs youth common drugs to mothers in
use by January 2020. Baseline will be community
established from electronically, reaching
the survey them through social
outlined in the media and community
process objective contacts (community
1a social media groups etc
). Surveys will be
collected in January
2020.

1.2) Have 25% of % of moms who Blog Peer leaders/interns.

moms in our report having read reading/opioid Surveys will be
community who “3 to 5” posts on conversation distributed throughout
reported raeding the mommy blogs and survey (Qs 15-20) the year to followers of
blogs, self report having mommy bloggers,
having conversations conversations with surveys will be posted
about opioid use with children about on blog and sent directly
their children. by July opioid usage to account followers.
2020. Report submitted by July
2020.

1.3) 25% of % of survey Alternative pain Peer leaders/interns.

respondents to the respondents who management Surveys will be
survey report having report greater survey (Qs 15) distributed throughout
better understanding understanding and the year to followers of
and willingness to use willingness to use Pre-test mommy bloggers,
alternative pain alternative pain information will surveys will be posted
treatments by Dec treatments come from the on blog and sent directly
2020. baseline collected to account followers
as outlined in the digitally. Surveys will be
process objectives collected in December
1a as well as the 2020.
follow up in 1f

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2.1 Increase the % of “3 to 5” “3 to 5” awareness Peer leaders/interns.
number of parents program survey (Qs 15) Survey will be
who know of the “3 to awareness from distributed digitally as
5” program and can baseline pretest and again
describe it, by 30% measurement distributed at end of
from baseline pretest 2020 to compare
data by January 2021 posttest data to pretest
data. Survey report
submitted by January
2021.

2.2 % survey % of respondents Quality and Peer leaders/interns.

respondents who who report at least quantity parent- Surveys will be
report improved 50% improvement child distributed throughout
quality and quantity in quality and communication the year to followers of
of parent-child quantity of parent- survey (Qs 25-30) mommy bloggers,
communication by child surveys will be posted
50%, , by July 2019. communications Pre-test on blog and sent directly
information will to account
come from the followers digitally.
survey outlined in Survey to be collected by
the process July 2019.
objective 1a

2.3 Have 40% % of parents who Parental Peer leaders/interns.

increase in parents know what awareness survey Surveys will be sent out
who are aware of children are doing (Qs 20) to parents digitally to
what their kids are between 3 to 5 pm collect pretest data and
doing from the hours then again at beginning
of 3pm-5pm by of January 2020 for
January 2020. posttest data to compare
% increase. Surveys to
be collected in January
2020.

Summative Evaluation: Outcome Evaluation

1. Decrease the % of substance Substance misuse Project manager. A

growth rate of new misusers among survey for survey will be
substance misusers mothers and youth mothers and administered digitally to
among mothers and compared to % youth (Qs 15-17) youth (12-18 yrs old)
youth (12-18 yrs old) before bloggers and mothers to collect
by 15% from the data to compare to
baseline we will pretest data gathered.
collect by January

34
2021 (baseline to be Survey to be collected in
collectedas outlined January 2021.
in objective 1a of the
process evaluation).

2. Decrease percent of % of youth that Substance misuse Project manager. Survey

youth (12-18 yrs old) misuse substances survey for 12-18 will be sent out digitally
that begin misusing as compared to % yr olds (Qs 10-12) to youth (12-18 yrs old)
substances in the from baseline and data compared to
community through measurement baseline data. Survey to
efforts of “3 to 5” before “3 to 5” be collected in January
program by 10% implementation 2021.
from collected
baseline by January
2021(baseline to be
collected as outlined
in objective 1a of the
process evaluation).

35